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NTIS 바로가기대한고유수용성신경근촉진법학회지 = Journal of Korea Proprioceptive Neuromuscular Facilitation Association, v.13 no.3, 2015년, pp.119 - 125
신재욱 (부산의료원 재활센터) , 이승민 (부산의료원 재활센터) , 김좌준 (춘해보건대학교 물리치료과)
Purpose: The current study seeks to examine the effects of stabilizing reversal(SR) and rhythmic stabilization(RS) in proprioceptive neuromuscular facilitation (PNF) techniques on static balance in normal female adults. Methods: Subjects included 20 healthy women in their 20s. They were randomly div...
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핵심어 | 질문 | 논문에서 추출한 답변 |
---|---|---|
균형이란 무엇인가? | 균형은 기저면 내에 신체 무게 중심을 유지할 수 있는 능력으로, 신체가 이동할 때 주변 환경과 상호작용을 통해 지속적으로 자세를 유지하는 능력을 말한다(Shumway-Cook & Woollacott, 2000). 균형에는 움직이지 않는 기저면 내에서 흔들림 없이 서 있을 수 있는 정적균형과 기저면이 변하거나 외부에서의 자극으로부터 스스로 균형을 유지할 수 있는 동적균형으로 나눌 수 있다(Ragnarsdottir, 1996). | |
균형능력을 평가하기 위한 방법으로 주로 사용되는 것은 무엇인가? | 균형능력을 평가하기 위한 방법으로는 버거 균형 척도(berg balance scale), 일어나 걸어가기 검사(timed up and go test), 압력의 중심부(center of pressure, COP) 이동거리 등이 주로 사용되고 있다. 특히 COP는 균형장애에 대한 진단과 치료에 대한 평가도구와 신체 중심의 이동경로를 반영하는 척도로 적용되고 있다(Michaelson et al, 2003). | |
고유수용성 신경근촉진법의 기법은 어떤 것들이 있는가? | PNF의 기법 중 안정적 반전(stabilizing reversal, SR) 기법은 정적인 상태에서 주동근과 길항근 시너지가 교대로 발생되는 기법으로 주동근과 길항근의 협응력 증진을 목적으로 하고(Koo et al, 2009), 율동적 안정화(rhythmic stabilization, RS) 기법은 길항근의 공동수축이 일어나게 하는 기법으로서 움직임이 발생되지 않도록 저항에 대응하여 실시하는 교대적 등척성 수축을 이용하는 방법이다(Adler et al, 2008). 이러한 PNF 기법이 다리 근력을 강화시키고 균형을 개선시킨다는 선행 연구들이 많이 보고되고 있다(Ryu et al, 2015; Seo et al, 2015). |
Adler S, Becker D, Buck M. PNF in Practice. An IIIustrated Guide. 3nd ed. Springer. 2008.
Amiridis I, Arabatzi F, Violaris P, et al. Static balance improvement in elderly after dorsiflexors electrostimulation training. European Journal of Applied Physiology. 2005;94(4):424-433.
Cheng PT, Wu SH, Liaw MY, et al. Symmetrical body-weight distribution training in stroke patients and its effect on fall prevention. Archives of Physical Medicine and Rehabilitation. 2001;82(12):1650-1654.
Choi YI. Effects of task-oriented approach and lower extremity strengthening exercise on walking in stroke patients. Yongin University. Dissertation of Master's Degree 2010.
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Kang DW, Kang MK, Kang ES, et al. The effect of PNF technique application using thera-band on the balance and gait of females over 65 years old. The journal of Korean academy of physical therapy science. 2011;18(1):1-10.
Kim HK. The effect of proprioceptive exercise program on balance performance in hemiplegic patients. Journal of Korea Proprioceptive Neuromuscular Facilitatiom Association. 2013;11(1):7-16.
Kim YH. The effects of trunk stability exercise on the balance and gait in the patients with stroke. Daegu University. Dissertation of Master's Degree. 2010.
Klein DA, William JS, Wayne TP. PNF training and physical function in assisted-living older adults. Journal of Aging and Physical Activity. 2002;10(4):476-488.
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Koo HO, Park SM, Kim AJ, et al. Effects of proprioceptive neuromuscular facilitation on trunk stability and balance in elderly people with chronic low back pain : The application of rhythmci stabilization and combination of isotonic. Journal of Korea Proprioceptive Neuromuscular Facilitatiom Association. 2007;5(2):37-46.
Lee HO, Kim DK, Ryu SG, et al. The effects of proprioceptive neuromuscular facilitation on balance in patients with hemiplegia : Application of rhythmic stabilization and combination of isotonic technique. Journal of Korea Proprioceptive Neuromuscular Facilitatiom Association. 2007;5(2):55-62.
Lee JW. Effect of ankle strategy exercise on improvement of balance in elderly with impaired balance. Yonsei University Dissertation of Doctorate Degree 2007.
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Michaelson P, Michaelson M, Jaric S, et al. Vertical posture and head stability in patient with chronic neck pain. Journal of Rehabilitation Medicine. 2003;35(5):229-235.
Min YK. The effects of stabilizing reversal and rhythmic stabilization in PNF techniques on the trunk stability and gait in the patients with stroke. Daegu University. Dissertation of Master's Degree 2012.
Nikolaos DK, Symeon PV, Eleftherios K. Sequentially allocated clinical trial of rhythmic stabilization exercises and TENS in women with chronic low back pain. Clinical Rehabilitation. 2008;22(9):99-111.
O'Sullivan SB, Schmize TJ. Physical rehabilitation: Assessment and treatment. 4th ed. Philadelphia. FA Davis. 2001.
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Ryu HS, Kim SH, Park HS. The effects of band exercise using proprioceptive neuromuscular facilitation on muscular strength in lower extremity. Journal of Exercise Rehabilitation. 2015;11(1):36-40.
Seo KC, Park SH, Park KY. The effects of stair gait training using proprioceptive neuromuscular facilitation on stroke patients’ dynamic balance ability. Journal of Physical Therapy Science. 2015;27(5):1459-1462.
Shigematsu R, Chang M, Yabushita N, et al. Dance-based aerobic exercise may improve indices of falling risk in older women. Age and Aging. 2002;31(4):261-266.
Shumway-Cook A, Woollacott, MH. Motor control: Theory and practical applications, 2nd ed. Baltimore. Lippincott, Williams& Wilkins. 2000.
Wernick-Robinson M, David E, Krebs, et al. Functional reach: Does it really measure dynamic balance? Archives of Physical Medicine and Rehabilitation. 1999;80(3):262-269.
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